Cassandra Moten

NPI #1548981913 in Riverdale, Georgia

Provider Information

NPI Number: 1548981913
Entity Type: Individual
Name: Cassandra Moten
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Sep 6, 2022
Last Updated: Sep 6, 2022

Practice Location

Address: 8455 HIGHWAY 85 STE P
City: Riverdale
State: Georgia
ZIP Code: 30274-5115
Phone: (678) 228-1970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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